<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
<%@ taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core" %>
<%
String path = request.getContextPath();
String basePath = request.getScheme()+"://"+request.getServerName()+":"+request.getServerPort()+path+"/";
%>
<!DOCTYPE html>
<html lang="en">
<base href="<%=basePath%>">
<head>
    <meta charset="UTF-8">
    <title>Document</title>
</head>
<body>
<div style="padding:15px 30px">
	<form id="seeDoctorRegisterForm">
    	<input type="hidden" id="guahaobianhao" name="registration.id" />
		<div style="margin-bottom:18px">
	        <input class="easyui-textbox" id="bingrenxingming" name="" style="width:100%" data-options="label:'病人名称:'">
	    </div>
	    
		<div style="margin-bottom:18px">
	        <input class="easyui-textbox" id="" name="registrationTime" style="width:100%" data-options="label:'挂号时间:'">
	    </div>
		<div style="margin-bottom:18px">
	        <input class="easyui-textbox" id="keshiname"  style="width:100%" data-options="label:'科室名称:'">
	    </div>
		<div style="margin-bottom:18px">
	        <input class="easyui-textbox" id="yishengname" name="" style="width:100%" data-options="label:'医生名称:'">
	    </div>
		<div style="margin-bottom:18px">
	        <input class="easyui-textbox" id="jiuzhenleixing" name="" style="width:100%" data-options="label:'就诊类型:'">
	    </div>
		<div style="margin-bottom:18px">
	        <input class="easyui-textbox" id="" name="comment" style="width:100%" data-options="label:'描述:'">
	    </div>
	</form>
</div>
</body>
</html>